# Permit to work examples

> Completed permits to work: hot work, dig, confined space, working at height, electrical isolation and general. Both sheets, as PDF, Word and Excel.
> Web page: https://complyonsite.com/tools/permit-to-work-examples

Completed permits for common jobs: both sheets, filled in and cancelled. Read one, download it, then issue your own from the blank.

[Get the blank](https://complyonsite.com/tools/permit-to-work-template?job=hot-works)

## Choose a permit

- [**Torch-on felt on a flat roof**A propane torch on the roof of an occupied office, with a fire watch to the two-hour check.2 pages, checked 2 November 2026](https://complyonsite.com/tools/permit-to-work-examples?job=hot-work-roofing#example)
- [**Welding a steel beam in a basement**MIG welding during a refurbishment, with fume extraction and the office above checked too.2 pages, checked 2 November 2026](https://complyonsite.com/tools/permit-to-work-examples?job=hot-work-welding#example)
- [**A new drain in a yard, near live services**Hand digging near a cable and a gas pipe, over two days, with inspections after rain.2 pages, checked 2 November 2026](https://complyonsite.com/tools/permit-to-work-examples?job=permit-to-dig#example)
- [**Entering a foul manhole to join a drain**Two people in a 2.4 m manhole, with gas tests, a top person and a winch at the surface.2 pages, checked 2 November 2026](https://complyonsite.com/tools/permit-to-work-examples?job=confined-space#example)
- [**A night fit-out in a bank branch**A shopfitting team replacing a reception desk and two partitions after closing, with one intruder alarm zone off and security on site.2 pages, checked 2 November 2026](https://complyonsite.com/tools/permit-to-work-examples?job=general#example)
- [**A roof survey behind a barrier**A surveyor and an assistant on a large flat felt roof with roof lights and an open edge, inside a barrier set and struck on the same permit, with wind readings throughout.2 pages, checked 2 November 2026](https://complyonsite.com/tools/permit-to-work-examples?job=working-at-height#example)
- [**Changing a sub-main board**A board with two incomers and a generator inlet, with both firms locked on through a lock-out box, proved dead before the permit was issued.2 pages, checked 2 November 2026](https://complyonsite.com/tools/permit-to-work-examples?job=electrical-isolation#example)

## Roofing hot work permit example

Torch-on felt on a flat roof

A propane torch on the roof of an occupied office, with a fire watch to the two-hour check.

[Download PDF](https://complyonsite.com/permit/examples/hot-work-roofing.pdf) [Download Excel](https://complyonsite.com/permit/examples/hot-work-roofing.xlsx) [Download Word](https://complyonsite.com/permit/examples/hot-work-roofing.docx)

### What to change

- Your site and exact location
- The precautions that do not apply, and why
- Who issues it and who accepts it

### Sources

- [HSG168: Fire safety in construction](https://www.hse.gov.uk/pubns/priced/hsg168.pdf)
- [HSG250: Guidance on permit-to-work systems](https://www.hse.gov.uk/pubns/priced/hsg250.pdf)

Checked 2 November 2026

### The same sheet as text

Worked example of a made-up job. Not a permit.

### Sheet 1: Hot Work Permit

#### Hollins & Reed Contracting Ltd

1. **Permit no.** HR-0417
2. **Site** Unit 3, Canal Side Business Park
3. **Exact location** Flat roof over the offices, north end

#### Details

1. **Contractor** Hollins & Reed
2. **Issued to** Priya Shah
3. **Valid from** 12/10/26 08:00
4. **Valid to** 12/10/26 17:00
5. **RAMS ref** HR-RAMS-07
6. **Fire risk ref** HR-FRA-03

#### The work

1. **Hot work to be done** Torch-on felt cap sheet to 30 m² of flat roof, with parapet upstands and two outlets.
2. **Method** One torch, one cylinder. Laps rolled. Upstands on low flame, gaps behind sealed first.
3. **Why cold methods fail** Cold-applied sheet and a heat gun failed a test patch on 9 October. Neither bonded.

#### Hazards

1. **Combustibles in 10 m** Yes
2. **Openings and voids** Yes
3. **Flammables nearby** Yes
4. **Dust or lint** No
5. **Roof or wall linings** Yes
6. **Below, behind walls** Yes
7. **Sprinklers, alarms** Yes
8. **Occupied building** Yes

#### Precautions

1. **Combustibles removed or covered** Done: yes. By: Priya Shah
2. **Floors swept, combustible floors covered** Done: yes. By: Priya Shah
3. **Openings and voids sealed** Done: yes. By: Priya Shah
4. **Non-combustible screens up** Done: no. By: Not needed. Open roof
5. **Detectors isolated: who restores them** Done: yes. By: Dan Hollins, zone 3 only
6. **Gas cylinders secured and checked** Done: yes. By: Priya Shah
7. **Two extinguishers within reach: type** Done: yes. By: Two 9 kg dry powder
8. **Fire watcher named, breaks covered** Done: yes. By: Reece Ollerton
9. **How to raise the alarm** Done: yes. By: Break glass, ring 999
10. **Hot work ends 2 hours before day end** Done: yes
11. **Others shielded from arc and sparks** Done: no. By: Not needed. No arc
12. **Fume: LEV or RPE** Done: no. By: Not needed. Outdoors
13. **Permit shown at the work** Done: yes

#### Equipment

1. **Extinguishers** Yes
2. **Fire blanket** Yes
3. **Hose reel** No
4. **Gas detector** No
5. **Thermal camera** Yes
6. **Welding screens** No

#### Other conditions

1. **Cylinder on a heat-insulating base, 3 m from the torch. Never use water on a bitumen fire.**
2. **Zone 3 goes back on for any break and when hot work ends. Client told first. Site office 0161 496 0142.**

#### Sign-off

1. **Issued: precautions checked** Name: Dan Hollins. Signature: signed. Date: 12/10/26. Time: 07:50
2. **Accepted: permit understood** Name: Priya Shah. Signature: signed. Date: 12/10/26. Time: 07:55

### Sheet 2: Hot Work Permit

#### Hollins & Reed Contracting Ltd

1. **Permit no.** HR-0417
2. **Site** Unit 3, Canal Side Business Park
3. **Exact location** Flat roof over the offices, north end

#### Fire watch: continuous for 1 hour, then a check at 2 hours

1. **During breaks** Time: 12:15 to 12:45. By: Reece Ollerton. Result: Torch off for the break. Watched roof and void. Nothing found.
2. **End of hot work** Time: 14:45. By: Reece Ollerton. Result: Torch off, cylinder shut. Continuous watch started.
3. **1 hour after the end** Time: 15:45. By: Reece Ollerton. Result: Watched roof and void the whole hour. Thermal image shows no hot spots.
4. **2 hours after the end** Time: 16:45. By: Dan Hollins. Result: Roof and roof void checked. Nothing found.

#### Cancellation

1. **Work stopped at** 14:45 on 12 October. Cap sheet finished.
2. **Area checked, images kept** Roof and roof void walked at 16:45. Three thermal images in the job file.
3. **Detectors restored by** Dan Hollins. Back on 12:15, off again 12:45, back on 14:50. Panel normal.
4. **Equipment removed** Torch, hose and cylinder off the roof by 15:20.

#### Handback

1. **Area returned to** Thornley Vale Estates Ltd, site keyholder
2. **Notes** Outlets open again. Nothing to report.

#### Sign-off

1. **Extended: new end time** Name: Not extended
2. **Cancelled: area checked** Name: Dan Hollins. Signature: signed. Date: 12/10/26. Time: 16:50
3. **Handed back: area returned** Name: Dan Hollins. Signature: signed. Date: 12/10/26. Time: 16:55

## What a completed permit shows

- Who issued it and who accepted
- What was checked first, and what did not apply
- The record while it ran (fire watch, gas tests, inspections)
- How it was cancelled and handed back

## Two ways to run your permits

### On paper, from this book

Print the two sheets, number them and issue one for each job.

[Get the blank](https://complyonsite.com/tools/permit-to-work-template?job=hot-works)

### Keep the day’s record

Note each permit issued and cancelled in Site Diary, with photos of the area.

[Open Site Diary](https://complyonsite.com/tools/site-diary)

## Permit to work example questions

**Are these real permits?**

No. Every job, company, person and address here is made up, and so is every reading. They show what goes in each box.

**Can I issue one of these as it is?**

No. A permit is written for one job, one place, one time. Issue your own from the blank, after checking the place yourself.

**What makes a permit invalid?**

It covers only the job, the place and the time written on it. If the time runs out or the work changes, stop, then extend it or issue a new one once it is checked as safe. HSE: [HSG250](https://www.hse.gov.uk/pubns/priced/hsg250.pdf).

**How long does a hot work fire watch last?**

At least an hour of continuous watching after the hot work ends, then at least one more check two hours after the end. HSE: [HSG168](https://www.hse.gov.uk/pubns/priced/hsg168.pdf).

**Where is the blank?**

On the [permit to work template](https://complyonsite.com/tools/permit-to-work-template?job=hot-works) page. Add your logo, then print it or download it.